# JEFFREY S BOBERG DPM LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ankle & Foot Surgeons of the Midwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710147236
- **Authorized official:** DR. JEFFREY S BOBERG DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (618) 236-7444

## Contact information

- **Practice address:** 180 S 3RD ST, STE 103, BELLEVILLE, IL 62220-1952
- **Practice address phone:** (618) 236-7444
- **Mailing address:** 180 S 3RD ST, STE 103, BELLEVILLE, IL 62220-1952
- **Mailing address phone:** (618) 236-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004233 | IL | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 07/17/2008